Provider Demographics
NPI:1609212109
Name:SAVIDIS, VALERIE M (LNHA, BC-DMT, LCAT)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:M
Last Name:SAVIDIS
Suffix:
Gender:F
Credentials:LNHA, BC-DMT, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 W 56TH ST
Mailing Address - Street 2:APT. 3N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3765
Mailing Address - Country:US
Mailing Address - Phone:917-617-3485
Mailing Address - Fax:
Practice Address - Street 1:353 W 56TH ST
Practice Address - Street 2:APT. 3N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3765
Practice Address - Country:US
Practice Address - Phone:917-617-3485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-11
Last Update Date:2013-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000071101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor